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1981, 03-23 Permit: 79-9582 InspectINSPECTION RECORD OWNER c -LOC: TION CONTRACTOR N S E SET BACKS TYPE OF WORK FINAL INSPECTION: DATE 3 —Is REMARKS: Nek 4 c, 364L mfollowor— APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH all JEFFERSON J SPOKANE, WASHINGTON 99360 1 MOP) 966.3676 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES Is. En_ans. MB- DATE -,.CriaND De. LEGAL DESCRIPTION — SEE ATTACHED "ALD r SA i7'N ADDRESS PARCEL NUMBER'S Required Set Backs Feat East boothNorte CONTRACTOR 4, ADDRESS DESIGNER 6' ADDRESS PHONE IW. Depapaney ❑.e, Dn. kl0 A II gAr..InBR.F..pp Sian of Pam. Zone Classification ZIP TyPe Const. PHONE Valuation LIP OWL Ara. IBr.ment Ar Area I Storage CHANGE OF USE FROM 6. TO Spilt Ent, Split Level Rancher TYPE 0 NEW T WORK 0 BLD, o PLIAS. ❑ AD'N. ❑ MECH. 0 RPL 0 M.H ❑ MVE. ❑ POOL 0 OTHER No. Batns N. F:oors No. Rooms I Rec. Room IL CERTIFICATE EXEMPTION R.e'6. pvot R.gd. DESCRIBE WORK Sogfce OAS ELECTRIC WATER SEWER 1 hereby oecTfy that I have I MI and g od UlA applic01 on and navo lead the "NOI ice" 1 Wded side, and know the sante to a be Otto end i All pl!+Vislons 01 low,. a .�i ctan�us yluvelnmg 1111, typeeofr work will be c mphod with whetllel specified herein r,ta Elie grunting of p..ln,t dues hot p1e1000' .I Rive authority to Violate o cancel Ihu in uvisibns of e y 11t11m ,taleJf lllpppcal IOW recn leln,rl c: nstt uCtlolt or Igo Jel lot mance of construction. s'A,E/2-20-_ Inrlr r'7"c%0/ DEPT. SPECIAL APPROVALS REO'O. RECD Env, Bea. Planning Fire marsnell Iles SPECIAL CONDITIONS: FEES COLLECTED SI 91e Building Plumbing Mech. Plen Check SEPA Mobile Home 04• . •7.00 •700 •7008 E •000 8 9581, 12-28-79 6479. Other (Specify) _ TOTAL S HEN MACHINE VAL 1001. 10 In. 'Nlti.I